The specific HCPCS Level II code determines whether a specific claim is sent to the
MAC that processes provider claims or the ___ ___that processes DMEPOS dealer
claims.
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DME MAC
HCPCS level II was introduced in 1983 after Medicare found that its payers used more
than 100 different coding systems, making it _____.
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difficult to analyze claims data
,what act prohibits a payer from notifying the provider about payment or rejection of
unassigned claims or payments sent directly to the patient?
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federal privacy act of 1974
Which is the correct entry of a patient's or policyholder's name in Block 2 or 4 on the
CMS-1500?
a. DOE, JOHN S.
b. JOHN S. DOE
c. JOHN S DOE
d. DOE, JOHN, S
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d. DOE, JOHN, S
physicians submit _____ service/procedure codes to payers:
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CPT/HCPCS level II
the from and to date field in block 24 of the CMS-1500 should be completed when:
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, the same service is provided on consecutive dates
only ___ ICD-10-CM codes are entered on a single claim form.
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twelve
HCPCS codes
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generally for products, supplies, and services, things like ambulance
services, durable medical equipment, prosthetics, and orthotics that aren't
represented by CPT codes; ensure uniform reporting of medical products
or services on claims
when the patient is seen for pain related to a neoplasm _____.
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list the pain diagnosis first
the billing entity in block 33 should represent the _______.
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MAC that processes provider claims or the ___ ___that processes DMEPOS dealer
claims.
Give this one a try later!
DME MAC
HCPCS level II was introduced in 1983 after Medicare found that its payers used more
than 100 different coding systems, making it _____.
Give this one a try later!
difficult to analyze claims data
,what act prohibits a payer from notifying the provider about payment or rejection of
unassigned claims or payments sent directly to the patient?
Give this one a try later!
federal privacy act of 1974
Which is the correct entry of a patient's or policyholder's name in Block 2 or 4 on the
CMS-1500?
a. DOE, JOHN S.
b. JOHN S. DOE
c. JOHN S DOE
d. DOE, JOHN, S
Give this one a try later!
d. DOE, JOHN, S
physicians submit _____ service/procedure codes to payers:
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CPT/HCPCS level II
the from and to date field in block 24 of the CMS-1500 should be completed when:
Give this one a try later!
, the same service is provided on consecutive dates
only ___ ICD-10-CM codes are entered on a single claim form.
Give this one a try later!
twelve
HCPCS codes
Give this one a try later!
generally for products, supplies, and services, things like ambulance
services, durable medical equipment, prosthetics, and orthotics that aren't
represented by CPT codes; ensure uniform reporting of medical products
or services on claims
when the patient is seen for pain related to a neoplasm _____.
Give this one a try later!
list the pain diagnosis first
the billing entity in block 33 should represent the _______.
Give this one a try later!
